Appendix 5 (Checklist For Chemical Industry)

Appendix 5
ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

CHECKLIST FOR PRESCRIBED ACTIVITIES
ACTIVITY 8(a): CHEMICAL - WHERE PRODUCTION CAPACITY OF EACH PRODUCT
OR OF COMBINED PRODUCTS IS GREATER THAN 100 TONNES/ DAY

CHECKLIST FOR PRESCRIBED ACTIVITY:
ACTIVITY 8(a): CHEMICAL - WHERE PRODUCTION CAPACITY OF EACH
PRODUCT OR OF COMBINED PRODUCTS IS GREATER THAN 100 TONNES/ DAY
A. This checklist is for the assessment of Preliminary EIA report undergoing the 3 weeks
processing procedure.
B. This checklist shall be used by the EIA Consultant in assessing the EIA report prepared by
the EIA Consultant, for Activity 8(a): Chemical - where production capacity of each
product or of combined products is greater than 100 tonnes/day under the
Environmental Quality (Prescribed Activities)(Environmental Impact Assessment) Order
1987, Environmental Quality Act, 1974.
C. The qualifying criteria for Activity 8(a) subjected to the 3 weeks Preliminary EIA
processing procedure are:1. Proposed project complies with any development plan approved by the relevant
approving authority and relevant Government policies;
2. Proposed project is located at gazetted industrial area with adequate buffer zone
between project boundary to the nearest sensitive receptor.
3. Proposed project is compatible with the surrounding activities, within 250 meter radius
from project boundary.
4. Proposed project does not involve the use of radioactive material(s) and the generation
of radioactive waste(s).
D. All information disclosed and assessed in this checklist must be accurate, true, correct and
based on critical issues of the proposed project and site.
E. The Project Proponent and EIA consultants shall be fully responsible for the information
given/specified in this checklist.
F. Type of application:1. New Chemical Plant/Industry
2. Expansion increase in capacity of _______ percentage (%).
G. Please tick in the box as follows: - Complete; or
X - Incomplete; or
1.0
PROJECT BACKGROUND
1.1
Project Title
N.A - Not Applicable
______________________________________________________________
______________________________________________________________
______________________________________________________________

1.2
Project Location
a. Area Coordinates (at least four angle points)
Longitude
Latitude
b. Total Acreage (hectare, ha) :__________________________

c. Lot No./ P.T
: ___________________________________
d. HSD/ HSM
: ___________________________________
e. Name of Industrial Area : _____________________________

__________________________________________________
f.
1.3
Mukim
: ___________________________________
g. District
: ___________________________________
h. State
: ___________________________________
Project Approving Authority

a. Agency : _________________________________________

1.4
Project Proponent
a. Company Name : _____________________________________________
b. Address
: _____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
c. Company Registration No. :____________________________________

d. Person In Charge : ___________________________________________
1.5
e. Designation
:_____________________________________________
f.
: _____________________________________________
Telephone
g. E-mail
: _____________________________________________
h. Fax
: _____________________________________________
EIA Consultant
a.
Company Name: _____________________________________________
b. Address
: _____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
c. EIA Team
Leader
: _____________________________________________
d. Registration No. :_____________________________________________

e. Telephone
: _____________________________________________
f.
Fax
: ____________________________________
g. E-mail
:____________________________________

1.6
Preliminary Site
Tapak, PAT)
Assessment
(Penilaian
Awal
Tick and
page
number
For DOE use only
a. Letter of PAT comments from the Department of

Environment (State Office) __________________
b. Date of PAT Letter: ____________
c. Reference number: ________________________
1.7
Tick and
page
number
For DOE use only
AND Tick and
For DOE use only
Characteristics of the Project

a. Production capacity of each product or
combined products ___________ tonnes/day.
of
b. Integration with existing facilities/plants.

c. Utilities facilities.
d. The use of natural resources.
2.0
GUIDELINES, GUIDANCE
OTHER REFERENCES
DOCUMENTS
2.1
List of guidelines, guidance documents and other

references referred to during the preparation of the EIA
report.
3.0
EIA CONSULTANT
3.1
List of EIA Study Team Members (EIA Consultants and

Subject Consultants).
3.2
A soft copy of the EIA report (including Executive

Summary) - attached.
3.3
A soft copy of raw data used in the EIA study

attached.
page
number
Tick and
page
number
For DOE use only

4.0
EIA REPORT
4.1
Documents to be included at the beginning of the

EIA report.
Tick and
page
number
For DOE use only
a. List of EIA Study Team Members (EIA Consultants

and Subject Consultants).
b. List of Assistant Consultants.
c. Declaration from Project Initiator.
d. Declaration from EIA Study Team Leader.
e. Declaration from EIA Team Members.
4.2
Executive Summary (as a stand alone document) in Tick and

addition to summarizing the main findings and issues, page
numer
also containing the following information:
For DOE use only
a. Name / title of Project.

b. Name & Contact Details of the Project Proponent
(contact person, address, tel, fax, e-mail).
c. Name of the EIA Consultant (firm) & Contact
Person (Address, Tel, Fax, E mail).
d. Location of the project (including where applicable,
coordinates, lot numbers, sub-district and district
name).
e. Relevant maps showing project location and
sensitive receptors.
f. Summary of the main findings and issues
mitigating measures.
Note: Executive Summary in two languages (English and Bahasa
Melayu) shall be submitted to DOE in both hard copy and soft copy.
4.3
Introduction
a. Statement of Need.
Tick and
page
number
For DOE use only
b. Justification for the proposed project.

c. Objective of the proposed project.
5

d. Benefits from the proposed project.

e. Project viability.
4.4
Project and Site Options

a. Project options.
Tick and
page
number
For DOE use only
Tick and
page
number
For DOE use only
b. Site options (refer to PAT).

c. Technology options.
d. Pollution control options.
e. No project option.
4.5
Overall Project Description
a.
Site Description:
(i)
Location Plan and Current Landuse Map
The proposed project location is shown

clearly on the coordinates, lot number, PT or
etc., showing the general location, specific
the
proposed
project
location
and
boundaries.
Current satellite image land use map,

covering an area of 5 km radius from the
proposed project boundary (250m intervals).
The land use map clearly indicate the area of

environmentally sensitive areas such as
human settlements, schools, hospitals, food
and beverage industries, pharmaceutical
industries, potable water intake point etc.
Cadastral map showing the lots adjacent to

the proposed project site, at least within 1km
radius from the proposed project boundary.

(ii)
Other Maps/ Plans
Map showing infrastructure facilities.

Master Plan.
Structure Plan.
Local Plan.
Note : All maps must be at least in A3 size, readable, colored, with

legends.
b.
Process Description
(i)
The proposed chemical industry includes the

manufacture of:
Inorganic chemicals (e.g. acid, alkalis, salts,

gases).
Organic
chemicals
not
including
petrochemicals
(e.g.
oleo
chemicals,
cellulose and sugar based chemicals).
Pharmaceuticals (e.g. drugs,

fragrances and flavours).
Synthetic dyes (including paints, pigments,

and inks).
Explosives.
Synthetic fibers.
Pesticides.
Soaps and detergents.
Glass and ceramics.
Fertilizers.
Others (please specify) : ________________
Tick and
page
number
For DOE use only
cosmetic,
____________________________________

(ii)
Types of manufacturing processes involved/used Tick and

page
in the proposed chemical plant project
For DOE use only
number
Alkylation
Amination
Carbonylation
Condensation
Dehydrogenation
Esterification
Halogenations and manufacture of halogens
Hydrogenation
Hydrolysis
Oxidation
Polymerization
Sulphonation
Desulphurization, manufacture and

transformation of sulphur-containing
compounds
Nitration and manufacture of nitrogen

containing compounds
Manufacture of phosphorus- containing

compounds
Formulation of pesticides and pharmaceutical

products
Distillation
Extraction
Salvation

Mixing
Others (please specify) : ________________

____________________________________
c.
Tick and
page
number
Project Description
(i)
Technology options.
(ii)
Description of pollution control systems.
(iii)
Emergency shutdown procedures.
For DOE use only
(iv) Other activities which may be required as a

consequence of the project (e.g. new roads,
extraction of aggregates, provision of new water
supply, generation or transmission of power,
increased housing and sewage disposal).
(v)
The production of wastes

scheduled wastes, sewerage)
(solid
wastes,
(vi) Layout plan, including road network:
Process area.
Pollution control equipment/areas such as
effluent treatment plant and air pollution
control system.
Bund and drainage system separating the
storage, handling and washing areas.
Lined storm water retention pond as
mitigation measures in the event of overflow
from the contaminated area.
Storage area for raw materials.
Storage area for chemicals, to be covered
and designed with separate drainage
systems.
Storage area for scheduled wastes (residues)
to be covered and designed with separate
drainage systems.
Storage area for products.

Fire-fighting system, water sprinkler system.

Security fence.
Note : Layout plan must be endorsed by Certified

Planner and the Project Proponent
(vii) Description of the main processes including size,

capacity, throughput, input and output flow
chart;
(viii) Mass balance, water balance, energy balance,
etc;
(ix) Work schedule for construction, operation and
commissioning phases, and restoration and afteruse where appropriate.
4.6
Soil Erosion and Sediment Control Aspects

a. The chapter on Soil Erosion and Sediment Control
Aspects was prepared by (name of the consultant)
______________________________, who is a
Certified Professional In Erosion And Sediment
Control (CPESC) with the CPESC registration
number
_______________________,
in
accordance to the Guidance Document For
Addressing Soil Erosion And Sediment Control
Aspects In The (EIA) Report by the DOE.
Tick and
page
number
For DOE use only
b. The conceptual erosion and sediment control

drawings indicating effective mitigating measures
or Best Management Practices (BMPs) to be
implemented on the site are described in chapter
________________ on page ______________ of
the EIA report, and illustrated in Figure
____________ on page ______________ of the
EIA report.
Note: `Best Management Practices (BMPs) means activities, facilities,
measures, planning or procedures used to minimize accelerated erosion
and sedimentation and manage storm water to protect and maintain the
quality of soil or inland or Malaysian waters and the existing and
designated uses of waters before, during, and after earth disturbance
activities.
10

4.7
Description of Existing Environment

a. Description on the sampling methodologies,
location (with justification), monitoring stations and
sampling parameters.
Tick and
page
number
For DOE use only
b. Identification of the baseline data for the following

environmental components :(i)
Air Quality:
Number of air quality monitoring stations:
________________________________
Parameters:
________________________________
________________________________
Map showing locations of air quality
monitoring stations.
(ii)
Water Quality:
Number of water quality monitoring
stations:
________________________________
Parameters:
________________________________
________________________________
Map showing locations of water quality
(iii)
Soil Quality:
Number of soil quality monitoring
stations:
________________________________
Parameters:
________________________________
________________________________
Map showing locations of soil quality
Refer
to
Contaminated
Land
Management and Control Guidelines by
the Department of Environment.
11

(iv)
Groundwater Quality:
Number of groundwater quality
monitoring stations:
________________________________
Parameters:
________________________________
________________________________
Map showing locations of groundwater
quality monitoring stations.
Refer
to
Contaminated
Land
Management and Control Guidelines by
the Department of Environment.
(v)
Noise Quality:
Number of noise quality monitoring
stations:
________________________________
Parameters:
________________________________
________________________________
Map showing locations of noise quality
c. Socio economic Baseline Data
4.8
(i)
Human settlement area
(ii)
Commercial area
(iii)
Sensitive receptors (schools, institutions,

hospitals, religious centres)
(iv)
Transportation & traffic
All raw data used as input for EIA study are provided in Tick and
the EIA main report or in Appendices (hardcopy) and page
number
accompanied with softcopy (CD).
For DOE use only
12

4.9
Results of laboratory analysis are included in the EIA Tick and

page
report.
number
4.10
All environmental samples are analysed by accredited Tick and

laboratory under the Laboratory Accreditation Scheme page
number
of Malaysia (Skim Akreditasi Makmal Malaysia).
4.11
Potential Significant Impact

a. Description of the methodologies used in the
impact analysis/assessment. Explanation on the
critical impacts and worst case scenarios using
modeling
and
other
internationally/locally
acceptable methodologies.
Tick and
page
number
For DOE use only
For DOE use only
b. Predicted impacts of the following components:(i)
Landuse
(ii)
Topography
(iii)
Soil and Geology
(iv) Drainage and Hydrology

(v)
Erosion and Sedimentation
(vi) Water Quality-Surface

(vii) Water Quality-Groundwater
(viii) Water Quality-Marine
(ix) Air Quality
(x)
Noise/Vibration
(xi) Waste Management

(xii) Biomass Management
(xiii) Sewerage
13

(xiv) Biological
(xv) Socio economic
(xvi) Transportation & Traffic
(xvii) Aesthetic and Cultural/ Heritage
(xviii) Other impacts (specify)
____________________________________
____________________________________
____________________________________
____________________________________
4.12
Mitigation and Abatement Measures

a. Based on prediction of impact studies on the
affected environment components :(i)
Landuse
(ii)
Topography
(iii)
Soil and Geology
Tick and
page
number
For DOE use only
(iv) Drainage and Hydrology

(v)
Erosion and Sedimentation: Conceptual

Erosion and Sedimentation Control Plan
(ESCP)-Conceptual
ESCP
with
map
indicating BMPs.
(vi) Water Quality-Surface

(vii) Water Quality-Groundwater
(viii) ater Quality-Marine
(ix) Air Quality
(x)
Noise/Vibration
(xi) Biomass
(xii) Waste Management
14

(xiii) Sewerage
(xiv) Biological
(xv) Socio economic
(xvi) Transportation and Traffic
(xvii) Aesthetic and Cultural/ Heritage
(xviii) Other mitigation measures (specify)
____________________________________
____________________________________
____________________________________
____________________________________
b. Cover all stages of development:(i)
Site Clearing/ Earthwork
(ii)
Building Construction
(iii)
Final Stabilization
(iv) Project Abandonment

4.13
Summary of Critical Issues/Impacts and Proposed Tick and

page
Mitigation Measures
For DOE use only
number
a. Critical issue/impact 1 (specify): ______________

________________________________________
Proposed mitigation measure(s) to mitigate/
minimize the impact (specify): ________________
________________________________________
b. Critical issue/impact 2 (specify): ______________
________________________________________
________________________________________
15

c. Critical issue/impact 3 (specify): ______________

________________________________________
________________________________________
d. Critical issue/impact 4 (specify): ______________

________________________________________
________________________________________
e. Critical issue/impact 5 (specify): ______________

________________________________________
________________________________________
4.14
4.15
Tick and
page
number
Residual Impacts
a.
Identification
significance.
of
residual
impacts
and
b.
Recommendation for the management of residual

impacts.
For DOE use only
their
Framework of the Environmental Management Plan Tick and

page
(EMP)
For DOE use only
number
Brief description of EMP components.

16

For DOE use only
4.16
Emergency Response Plan (ERP) -Scope
Tick and
page
number
4.17
Conclusion
Tick and
page
number
For DOE use only
Tick and
page
number
For DOE use only
a. Summary of the proposed project in terms of

project concept, impacts and recommended
mitigating measures.
b. Recommendation by the EIA Consultant on the
EIA report.
5.0
DECLARATION OF SELF-ASSESSMENT
5.1
EIA Team Leader

I hereby declare on the followings:a. The information provided in this assessment is
correct, accurate, liable and represent the studies
in the EIA report; and
b. I shall be held liable for any misleading information
in any part of this checklist.
Signature
__________________________
Name
__________________________
MyKad /
Passport No. :
__________________________
Designation :
__________________________
Date
__________________________
Official Stamp:
17

6.0
COMMENTS FROM RELEVANT AGENCIES (Please Tick and

refer to the relevant agencies for comments, based on page
number
critical issues and scope of the proposed project)
6.1
Comments from the Agency 1
For DOE use only
a. Name of Agency: __________________________

b. Address: _________________________________
________________________________________
________________________________________
________________________________________
c. Attach relevant letter/comment and endorsement
from the agency.
6.2

a. Name of Agency: __________________________
b. Address: _________________________________
________________________________________
________________________________________
________________________________________
from the agency.
6.3

a. Name of Agency: __________________________
b. Address: _________________________________
________________________________________
________________________________________
________________________________________
from the agency.
18

6.4

a. Name of Agency: __________________________
b. Address: _________________________________
________________________________________
________________________________________
________________________________________
from the agency.
6.5

a. Name of Agency: __________________________
b. Address: _________________________________
________________________________________
________________________________________
________________________________________
from the agency.
19

UNTUK KEGUNAAN JABATAN ALAM SEKITAR
1. Maklumat Am
a. Tarikh dan masa permohonan EIA diterima di pejabat Jabatan Alam Sekitar
________________________________________________________________
b. Tarikh piagam bermula: _____________________________________________
c. Tarikh piagam tamat: _______________________________________________
2. Syor oleh Pegawai Pemproses
a. Berdasarkan kepada maklumat yang telah dikemukakan oleh Jururunding EIA,
______________________________________________ seperti di atas, dan
semakan terhadap maklumat yang dikemukakan tersebut, adalah disyorkan bahawa
laporan
EIA
bagi
cadangan
projek
bertajuk
___________________________________________________________________
___________________________________________________________________
_____________________________________________________________
________________________________________________________________
(i) Laporan EIA bagi cadangan projek di atas diluluskan dengan syaratsyarat kelulusan kerana telah memenuhi kehendak Seksyen 34A(2), Akta
Kualiti Alam Sekeliling, 1974; atau
(ii) Laporan EIA bagi cadangan projek di atas tidak diluluskan kerana tidak
memenuhi kehendak Seksyen 34A(2), Akta Kualiti Alam Sekeliling, 1974.
Lampirkan butiran kegagalan laporan EIA berkenaan.
Ulasan Pegawai Pemproses:
________________________________________________________________
________________________________________________________________
________________________________________________________________
b. Nama Pegawai Pemproses : ______________________________________
Jawatan : _____________________________________________________
Tandatangan : _________________________________________________
Tarikh : _______________________________________________________
20

3. Ulasan Pegawai Penyelia

a. Bersetuju Dengan Syor Pegawai Pemproses
b. Tidak bersetuju Dengan Syor Pegawai Pemproses
Ulasan Pegawai Penyelia:
________________________________________________________________
________________________________________________________________
________________________________________________________________
c. Nama Pegawai Penyelia : _________________________________________
Jawatan : ______________________________________________________
Tandatangan : _________________________________________________
Tarikh: ________________________________________________________
4. Ketetapan Pengarah
a. Bersetuju Dengan Syor Pegawai Pemproses
Draf surat keputusan laporan EIA kepada pemaju projek dan Pihak Berkuasa
Meluluskan.
b. Tidak bersetuju Dengan Syor Pegawai Pemproses
Ulasan Pengarah:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
c. Nama Pengarah : ______________________________________________
Tandatangan : _________________________________________________
Tarikh:________________________________________________________
21

Appendix 5 (Checklist For Chemical Industry)

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Appendix 5

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

N.A - Not Applicable

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

b. Total Acreage (hectare, ha) :__________________________

e. Name of Industrial Area : _____________________________

Project Approving Authority

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

c. Company Registration No. :____________________________________

Company Name: _____________________________________________

d. Registration No. :_____________________________________________

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

For DOE use only

a. Letter of PAT comments from the Department of

For DOE use only

AND Tick and

For DOE use only

Characteristics of the Project

b. Integration with existing facilities/plants.

List of guidelines, guidance documents and other

List of EIA Study Team Members (EIA Consultants and

A soft copy of the EIA report (including Executive

A soft copy of raw data used in the EIA study

For DOE use only

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

Documents to be included at the beginning of the

For DOE use only

a. List of EIA Study Team Members (EIA Consultants

Executive Summary (as a stand alone document) in Tick and

For DOE use only

a. Name / title of Project.

For DOE use only

b. Justification for the proposed project.

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

d. Benefits from the proposed project.

Project and Site Options

For DOE use only

For DOE use only

b. Site options (refer to PAT).

Overall Project Description

Location Plan and Current Landuse Map

The proposed project location is shown

Current satellite image land use map,

The land use map clearly indicate the area of

Cadastral map showing the lots adjacent to

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

Other Maps/ Plans

Map showing infrastructure facilities.

Note : All maps must be at least in A3 size, readable, colored, with

The proposed chemical industry includes the

Inorganic chemicals (e.g. acid, alkalis, salts,

Pharmaceuticals (e.g. drugs,

Synthetic dyes (including paints, pigments,

Soaps and detergents.

Glass and ceramics.

Others (please specify) : ________________

For DOE use only

ENVIRONMENTAL IMPACT ASSESSMENT (EIA)

Types of manufacturing processes involved/used Tick and

For DOE use only

Halogenations and manufacture of halogens